Online Application Order Form for Products from the Healthcare Cost and Utilization Project (HCUP)

ICR 202508-0935-001

OMB: 0935-0206

Federal Form Document

Forms and Documents

Document Name	Status
Form 1 HCUP Application Form Form and Instruction	Modified
Attachment F 30 Day FRN 0935-0206.pdf Supplementary Document	2025-09-10
SS Part A - HCUP Online Order Form - 9 5 2025 finalv2.docx Supporting Statement A	2025-09-10
60 Day FRN 0935-0206 HCUP Revision 04-30-2025.pdf Supplementary Document	2025-09-05

IC Document Collections

IC ID	Document Title	Status
204300	HCUP Application Form Form and Instruction	Modified